TIMOTHY CRAIG CARTER MD
NPI 1053369413
Radiology - Diagnostic Radiology in Loxahatchee, FL

Q: What is Timothy Carter's NPI number?

The NPI number for Timothy Carter is 1053369413. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: Where is Timothy Carter located?

Timothy Carter practices at 13001 Southern Boulevard Palms West Hospital, Loxahatchee, FL 33470. The listed phone number is (561) 784-3238.

Q: What is Timothy Carter's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: Is Timothy Carter enrolled in Medicare?

Yes. Timothy Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Q: Which organizations bill Medicare for Timothy Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Carter reassigns Medicare benefits to 19 organizations: Enterprise Urgent Care (Enterprise, AL), Ivy Creek Of Elmore, LLC (Tallassee, AL), Wetumpka Urgent Care LLC (Wetumpka, AL), Ivy Creek Family Care Of Lake Martin (Dadeville, AL), River Region Family Medicine, LLC (Wetumpka, AL) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Q: What insurance does Timothy Carter accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, CareSource and Cigna HealthCare of Arizona, Inc and 4 other insurers list Timothy Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Q: Is Timothy Carter affiliated with any hospitals?

According to CMS data, Timothy Carter is affiliated with Ascension St John Medical Center, Saint Thomas Rutherford Hospital, Ascension Saint Thomas Hospital, Saint Thomas River Park Hospital and Nacogdoches Medical Center.

Q: When was this NPI record last updated?

The NPPES record for Timothy Carter was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

13001 SOUTHERN BOULEVARD, PALMS WEST HOSPITAL, LOXAHATCHEE, FL 33470(561) 784-3238(561) 784-3109 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Timothy Craig Carter Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY CRAIG CARTER MD (NPI 1053369413) is an individual diagnostic radiology provider in Loxahatchee, Florida, licensed in Florida (ME82085) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1053369413

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameTIMOTHY CRAIG CARTERCredential: MD

Location Address13001 SOUTHERN BOULEVARD, PALMS WEST HOSPITALLoxahatchee, FL 33470

Mailing Address5555 Anglers Avenue, Suite 24 Florida United RadiologyFort Lauderdale, FL 33312 · (954) 962-6265 · Fax (954) 893-9595

Phone(561) 784-3238

Fax(561) 784-3109

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMay 5, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1053369413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in FL · ME82085

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

13001 SOUTHERN BOULEVARD, Loxahatchee, FL 33470

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Craig Carter Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062422611

PECOS Enrollment IDI20210903001447, I20250520004673, I20251008000360

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Timothy Carter reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Enterprise Urgent Care

467 mi

Urgent Care

6582 BOLL WEEVIL CIRCLE
Enterprise, AL 36330

Reassigned Medicare billing, Alabama enrollment
149 clinicians in this Medicare group

NPI 1285180729 (334) 347-2027

Ivy Creek Of Elmore, LLC

530 mi

Rural Health

2256 GILMER AVE
Tallassee, AL 36078

Reassigned Medicare billing, Alabama enrollment
182 clinicians in this Medicare group

NPI 1558868323 (334) 283-2542

Wetumpka Urgent Care LLC

538 mi

Urgent Care

11 CAMBRIDGE DRIVE
Wetumpka, AL 36093

Reassigned Medicare billing, Alabama enrollment
158 clinicians in this Medicare group

NPI 1194057554 (334) 567-8633

Ivy Creek Family Care Of Lake Martin

541 mi

Urgent Care

5958 HIGHWAY 49 S UNIT K
Dadeville, AL 36853

Reassigned Medicare billing, Alabama enrollment
118 clinicians in this Medicare group

NPI 1609572890 (256) 825-7821

River Region Family Medicine, LLC

542 mi

Family Medicine

277 HUNTRESS STREET, SUITE 100
Wetumpka, AL 36092

Reassigned Medicare billing, Alabama enrollment
101 clinicians in this Medicare group

NPI 1578195525 (334) 567-4311

Physical Express

545 mi

Family Medicine

4081 ALABAMA HWY 14
Millbrook, AL 36054

Reassigned Medicare billing, Alabama enrollment
126 clinicians in this Medicare group

NPI 1043362734 (334) 285-3222

Chilton Family Care, LLC

570 mi

Family Medicine

1210 7TH ST S
Clanton, AL 35045

Reassigned Medicare billing, Alabama enrollment
160 clinicians in this Medicare group

NPI 1366857674 (205) 280-0620

Murfreesboro Radiology & Nuclear Medicine Consultants PLLC

730 mi

Diagnostic Radiology

1700 MEDICAL CENTER PKWY
Murfreesboro, TN 37129

Reassigned Medicare billing, Tennessee enrollment
136 clinicians in this Medicare group

NPI 1316043524 (615) 396-4100

Adi Radiology PC

745 mi

Diagnostic Radiology

4321 CAROTHERS PKWY
Franklin, TN 37067

Reassigned Medicare billing, Tennessee enrollment
156 clinicians in this Medicare group

NPI 1083266761 (615) 851-6033

Radiology Alliance PC

758 mi

Diagnostic Radiology

210 25TH AVE N STE 602
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
245 clinicians in this Medicare group

NPI 1861478489 (615) 312-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 66

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

14,360 services145 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

490 services473 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

353 services353 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

347 services347 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

162 services157 patients

X-ray of chest, 2 views 71046

161 services156 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

142 services138 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

140 services136 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

128 services127 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

125 services124 patients

Ct scan of chest without contrast 71250

125 services123 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

105 services100 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

101 services99 patients

Screening 3d breast mammography 77063

101 services101 patients

Screening mammography 77067

101 services101 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

85 services84 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

72 services71 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

71 services71 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

69 services69 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

68 services68 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

66 services66 patients

Ct scan of abdomen and pelvis with contrast 74177

62 services59 patients

Ct scan of abdomen and pelvis without contrast 74176

56 services53 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

50 services50 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

50 services50 patients

Dxa bone density measurement of hip, pelvis, spine 77080

50 services50 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

46 services44 patients

Ct scan of chest with contrast 71260

45 services42 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

44 services43 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

43 services42 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

43 services43 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

40 services40 patients

X-ray of abdomen, 1 view 74018

35 services34 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

34 services34 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

32 services32 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

31 services31 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

28 services27 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

27 services27 patients

Ct scan of abdomen and pelvis before and after contrast 74178

26 services26 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

24 services24 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

22 services22 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

21 services20 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

21 services21 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

21 services21 patients

X-ray of hip, 2-3 views 73502

21 services21 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

20 services20 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

17 services17 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

17 services17 patients

Low dose ct scan of chest for lung cancer screening 71271

16 services16 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

16 services16 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

15 services15 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

15 services15 patients

X-ray of lower and sacral spine, 2-3 views 72100

14 services14 patients

Ct scan of lower spine without contrast 72131

14 services14 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

14 services14 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

13 services12 patients

X-ray of shoulder, minimum of 2 views 73030

13 services12 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

13 services12 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

13 services13 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

13 services13 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

12 services12 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

12 services12 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

12 services12 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

11 services11 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

11 services11 patients

Complete ultrasound scan behind abdominal cavity 76770

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440053

Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County

Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440082

Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County

Emergency services Birthing friendly

Saint Thomas River Park Hospital

Acute Care Hospitals · Mcminnville, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440151

Location1559 Sparta StreetMcminnville, TN 37110 · Warren County

Emergency services Birthing friendly

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450656

Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…

Lower rates are better for this measure.

0%33 patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

98%801 patients

Radiology: Reminder System for Screening Mammograms

Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram

100%228 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

98%63 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT G. KAMHOLTZ MD

Radiology (Diagnostic Radiology)

13001 SOUTHERN BOULEVARD
LOXAHATCHEE, FL 33470

Palm Beach County (561) 798-3300

BINOR BERIHU SAID MD

Radiology (Diagnostic Radiology)

13001 SOUTHERN BOULEVARD, PALMS WEST HOSPITAL
LOXAHATCHEE, FL 33470

Palm Beach County (561) 784-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Carter's NPI number?

The NPI number for Timothy Carter is 1053369413. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Timothy Carter located?

Timothy Carter practices at 13001 Southern Boulevard Palms West Hospital, Loxahatchee, FL 33470. The listed phone number is (561) 784-3238.

What is Timothy Carter's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Timothy Carter enrolled in Medicare?

Yes. Timothy Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Timothy Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Carter reassigns Medicare benefits to 19 organizations: Enterprise Urgent Care (Enterprise, AL), Ivy Creek Of Elmore, LLC (Tallassee, AL), Wetumpka Urgent Care LLC (Wetumpka, AL), Ivy Creek Family Care Of Lake Martin (Dadeville, AL), River Region Family Medicine, LLC (Wetumpka, AL) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Carter accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, CareSource and Cigna HealthCare of Arizona, Inc and 4 other insurers list Timothy Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Carter affiliated with any hospitals?

According to CMS data, Timothy Carter is affiliated with Ascension St John Medical Center, Saint Thomas Rutherford Hospital, Ascension Saint Thomas Hospital, Saint Thomas River Park Hospital and Nacogdoches Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Carter was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.